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General NPI Number Information
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NPI Number | 1982604971
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Entity Type | Individual
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Provider Name | QUYNH N. VU PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/30/2005
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Last Update Date | 01/22/2019
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Provider Practice Location Address
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Address Line | 750 W FM 544
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City | WYLIE
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State | TX
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Zip | 75098-3913
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Country | US
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Telephone | 866-389-2727
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Fax | 401-216-3854
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Provider Business Mailing Address
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Address Line | 2705 GLEN HEATHER DR
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City | RICHARDSON
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State | TX
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Zip | 75082-3829
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Country | US
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Telephone | 214-477-5358
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA00070
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License Number State | TX
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